Making Democracy Work

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Yes, I would like to become a member of the League of Women Voters for an annual fee of $50.00.

Name(s):__________________________________________________________________________

Address:___________________________________________________________________________

Home Phone:___________________________ Work Phone:___________________________

Email:___________________________

Date:___________________________

I am a new member. Yes______ No______

I am a renewing member. Yes______ No______
(All members receive the Bulletin several times a year as well as other League literature and information.)

Scholarships/reduced dues are available for student memberships please contact the League.

Annual Dues (for Indianapolis, State and National):

___ Regular Member $50.00

___ Two residing at same address $75.00

Contributions:
Your additional contribution helps the League of Women Voters make a positive impact on voting, citizenship and democracy.

___ To LWV-Indianapolis $__________

___ To help provide student member scholarships $__________

___ To LWV-Indianapolis Education Fund $__________
(tax deductible, must be paid with a separate check from membership dues)

I expect to be an active member____, an occasional participant____ or a supporter____.

Which THREE topics interest you the most? (Circle three.) Education, Natural Resources, Voter Service, Local Government Reform, Health & Welfare, Public Transit, Women's Issues, Other/Special Interest _________________

May we call on you for any of the following? (Circle all that apply) Contacting Members, Publicizing LWV Activities (PR), Tracking/Writing about an Issue, Serving on the Board of Directors, Observing Public Meetings, Registering Voters